Individual
ALYSSA R HOVERSON SCHOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 DEMERS AVE, EAST GRAND FORKS, MN 56721-1833
(218) 773-5858
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
11319
ND
207N00000X
Dermatology Physician
40404
AZ
207N00000X
Dermatology Physician
48913
MN
207N00000X
Dermatology Physician
Primary
MN-48913
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228673100
—
MN
05
—
350219
—
AZ
01
—
P00610304
RAILROAD MEDICARE
MN
01
—
P00624826
RAILROAD MEDICARE
AZ
Enumeration date
08/05/2006
Last updated
05/12/2025
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